Full text PDF (6.1 MB) - Jurnalul de Chirurgie
Full text PDF (6.1 MB) - Jurnalul de Chirurgie
Full text PDF (6.1 MB) - Jurnalul de Chirurgie
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Articole Multimedia <strong>Jurnalul</strong> <strong>de</strong> <strong>Chirurgie</strong>, Iaşi, 2008, Vol. 4, Nr. 4 [ISSN 1584 – 9341]<br />
ADRENOCORTICAL CARCINOMA<br />
IMAGERY DIAGNOSIS<br />
ROLE of the CT-SCAN<br />
DENSITY (HU) with contrast < 30 HU<br />
Benign vs Malign<br />
SENSIBILITY – 69%<br />
SPECIFICITY - 97%<br />
ADRENOCORTICAL CARCINOMA<br />
IMAGERY DIAGNOSIS<br />
ROLE of the IRM<br />
• Size<br />
• Vascular Invasion<br />
•Hyperintensity in T2<br />
The intensity in T2 is correlated<br />
with fluid content<br />
75 HU:<br />
MALIGN TUMOR<br />
21 HU:<br />
BENIGN MASS<br />
Al-Hawary 1998<br />
ADENOMA<br />
Low Fluid Content<br />
CARCINOMA<br />
High Fluid Content<br />
Al-Hawary 2005<br />
ADRENOCORTICAL CARCINOMA<br />
IMAGERY DIAGNOSIS<br />
ROLE of the IRM<br />
Hyperintensity in T2<br />
+<br />
Chemical Shift<br />
Diagnosis accuracy<br />
of<br />
98%<br />
ADRENOCORTICAL<br />
CARCINOMA<br />
ADRENOCORTICAL CARCINOMA<br />
IMAGERY DIAGNOSIS<br />
ROLE of the SCINTIGRAPHY<br />
Low level of radionuclid<br />
into the tumor.<br />
Limits:<br />
High<br />
Price<br />
Elsayes 2004<br />
Surgery, 2000<br />
PET (18FDG)<br />
TC<br />
ADRENOCORTICAL CARCINOMA<br />
IMAGERY DIAGNOSIS<br />
ROLE of the PET-CT<br />
marker of cell metabolism<br />
morphological correlation<br />
ADRENOCORTICAL CARCINOMA<br />
IMAGERY DIAGNOSIS<br />
ROLE of the PET-CT<br />
Endocrinosurgery PD (2003-2007)<br />
n=20 cases<br />
Sensibility : 75%; Specificity: 75%<br />
Advantage:<br />
Accuracy in diagnosis<br />
(86-96%)<br />
Limits:<br />
High price<br />
Low disponibility<br />
Bergstrom 2000<br />
Jana 2005<br />
RMN<br />
(suspicion of renal<br />
infiltration)<br />
PET<br />
(negative)<br />
ADENOMA<br />
328
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